Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $28.82 / $119.09	Professional		$20.79	$28.82	$119.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $22.50 / $43.95	Professional		$15.52	$22.50	$43.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $35.08 / $41.88	Professional		$30.57	$35.08	$41.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $21.60 / $25.20	Professional		$18.36	$21.60	$25.20
United Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $23.55 / $74.88	Professional		$18.36	$23.55	$74.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $31.93 / $56.52	Professional		$19.61	$31.93	$56.52